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CH092143U LOS ANGELES CHRISTIAN HEALTH CENTERS (Terminated)
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Main Details
Name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Subdivision Name
LAMP COMMUNITY VILLAGE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006688
340B ID
CH092143U
Grant Number
H80CS06674
Additional Details
Current Program Status
Terminated
Registration Date
10/6/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/5/2013
Last Recertification Date
3/2/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Los Angeles Christian Health Centers
Lisa Abdishoo, President & CEO
(213) 893-1960
Primary Contact
Los Angeles Christian Health Centers
Kelly Chen, Pharmacy Director
(323) 268-8391
Addresses
Street Address
527 Crocker St
Los Angeles, CA 90013-2116
Billing Address
Los Angeles Christian Health Centers
PO Box 33137
Los Angeles, CA 90033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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